NPIMap

Individual provider Active NPI

Mujtaba Ali Hasnain, M.D.

  • Nephrology Physician
  • Saratoga Springs, NY
National Provider Identifier
1235364555
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
265897 Issued in NY
Practice address
1 West Ave
Suite 155
Saratoga Springs, NY 12866-6045
Phone
(518) 581-0112
Fax
(518) 580-9876
NPI assigned
May 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 265897 NY Primary

Addresses

Primary practice location

1 West Ave
Suite 155
Saratoga Springs, NY 12866-6045

Mailing address

62 Hackett Blvd
Albany, NY 12209-1756
Phone (518) 434-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120920000238 NY Practitioner - NephrologyPractitioner - Internal Medicine 2961650759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Nephrology and Dialysis Access Surgery, P.C.Group PAC ID 5991793598, 18 clinicians

Practice addresses (Care Compare)

1 W Ave
Suite 200
Saratoga Springs, NY 12866-6050
Phone (518) 581-0112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York Nephrology and Dialysis Access Surgery, P.C. Nephrology CurrentSince Jul 1, 2015 Accepting new patients
Cogent Medical Care PC CurrentSince Jun 24, 2017 Accepting new patients
Hospitalist Medicine Physicians of Albany County, PLLC Past Accepting new patients

Locations

62 Hackett Blvd
Albany, NY 12209
Phone (518) 434-2244

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1 West Ave
Ste 200
Saratoga Springs, NY 12866
Phone (518) 581-0112

500 State St
Ste 2B
Schenectady, NY 12305
Phone (518) 374-4207

Interoperability endpoints

  • Direct secure messaging: mhasnain@nenephrology.medentdirect.com
  • Direct secure messaging: mhasnain788645@direct.trinity-health.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1235364555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091756",
            "telephone_number": "518-434-2244",
            "fax_number": "518-434-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST AVE",
            "address_2": "SUITE 155",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666045",
            "telephone_number": "518-581-0112",
            "fax_number": "518-580-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASNAIN",
        "first_name": "MUJTABA",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-17",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "265897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.